Southeast OB-GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTHEAST OB-GYN PC

Doing business as

Southeast Obstetrics & Gynecology PC

Practice address

990 South Ave
Suite 104
Rochester, NY 14620-2740

Phone

(585) 256-3000

Fax

(585) 256-3045

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina Foster, MD

Title

President

Phone

(585) 256-3000

Specialties & licenses 1

Addresses

Other names 1

• Southeast Obstetrics & Gynecology PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rita A Clement, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1508834201
  Medicare reassignment Care Compare group NPD
• Katina Marie Foster, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1033408810
  Medicare reassignment Care Compare group NPD
• Emily Szuba Hart, DO

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1679193239
  Medicare reassignment Care Compare group NPD
• Sarah A Nolder, FNP-C

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1861133746
  Medicare reassignment Care Compare group NPD
• Amanda J Victory, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1336359777
  Medicare reassignment Care Compare group NPD
• Raphael T Tshibangu, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1518935378
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1184764524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-256-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202740",
            "telephone_number": "585-256-3000",
            "fax_number": "585-256-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-256-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Obstetrics & Gynecology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Gillette Soule, LCSW
• Anthony J Sousou, MD
• Kristyn E Sousou, NP
• South Coast Rochester LLC
• Sandra Gail Southall, RN
• Southern Cross Medical Products
• Southern Tier Cardiology PLLC
• Southside Medical Supply, LLC
• Southtown Vision Inc (Sterling Optical)
• Southview Physical Therapy and Sports Rehabilitation,PC

• Obstetrics & Gynecology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.